Submission for the position: Coder 3

Baylor Scott & White Healthcare

Dallas (TX)

On-site

USD 65,000 - 95,000

Full time

11 days ago

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Benefits offered by this job

Health benefits
401(k) match
Tuition Reimbursement
PTO accrual

Job summary

Baylor Scott & White Health is seeking a skilled Coder 3 to handle high acuity inpatient and hospital-based outpatient coding, including CIRCC-certified expertise. You will work with ICD-10-CM/PCS and CPT, abstract data, and support accurate DRG/APC classifications.

Requirements include 3 years of coding experience, relevant CCS/CIC/CIRCC/CPC/RHIA/RHIT certifications, and strong communication with providers to obtain missing documentation. Join a leading Texas health system in a critical role.

Qualifications

  • Education: HS diploma or GED equivalent.
  • Experience: 3 years in healthcare coding.
  • Certifications: CCS, CCS-P, CIC, CIRCC, COC, CPC, RHIA, RHIT options.

Responsibilities

  • Code diagnoses and procedures using ICD-10-CM/PCS and CPT.
  • Review medical records and ensure accurate billing and DRG/APC assignment.
  • Communicate with providers to obtain missing documentation.
  • Collaborate with revenue cycle to resolve coding issues.
  • Edit charges and ensure timely processing.

Skills

Attention to detail
HIPAA knowledge
Communication with providers

Education

High School Diploma or GED

Tools

ICD-10-CM
ICD-10-PCS
CPT

Job description

About Us

Here at Baylor Scott & White Health we promote the well‑being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.

Our Core Values are:

  • We serve faithfully by doing what's right with a joyful heart.
  • We never settle by constantly striving for better.
  • We are in it together by supporting one another and those we serve.
  • We make an impact by taking initiative and delivering exceptional experience.
Benefits

Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:

  • Immediate eligibility for health and welfare benefits
  • 401(k) savings plan with dollar-for-dollar match up to 5%
  • Tuition Reimbursement
  • PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level.

Job Summary

The Coder 3 is skilled in high acuity inpatient, hospital-based outpatient, or Profee. This includes high acuity profee service lines, Cardiac Cath/Electrophysiology (EP), or Interventional Radiology (IR) with a CIRCC certification, or expertise in at least 8 sub‑specialties. Coder 3 uses ICD-10-CM, ICD-10-PCS, and HCPCS, including CPT, for accurate coding. Coding references ensure accurate coding and classification assignment grouping, like MS-DRG, APR-DRG, and APC. The Coder 3 will abstract and enter required data.

Essential Functions of the Role
  • Reviews and interprets documentation from medical records and completes accurate coding of diagnosis, procedures, and professional fees.
  • Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
  • Communicates with providers for missing documentation elements and offers guidance and education when needed.
  • Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.
  • Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.
  • Reviews and edits charges.
Key Success Factors
  • Sound knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the coding area.
  • Sound knowledge of transaction code sets, HIPAA requirements, and other issues impacting the coding and abstracting function.
  • Sound knowledge of anatomy, physiology, and medical terminology.
  • Demonstrated expertise in the use of computer applications, group software, and Correct Coding Initiatives (CCI) edits.
  • Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.
  • Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
  • Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non‑negotiables.
Belonging Statement

We believe that all people should feel welcomed, valued and supported.

QUALIFICATIONS
  • EDUCATION - H.S. Diploma/GED Equivalent
  • EXPERIENCE - 3 Years of Experience
  • CERTIFICATION/LICENSE/REGISTRATION - Cert Coding Specialist (CCS), Cert Coding Spec Physician Bas (CCS-P), Cert Inpatient Coder (CIC), Cert Interv Radiology CV Coder (CIRCC), Cert Outpatient Coder (COC), Cert Professional Coder (CPC), Reg Health Info Administrator (RHIA), Reg Health Information Technic (RHIT): One of the following: RHIA, RHIT, CCS, CIRCC, CIC, CCS-P, COC, CPC.
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